Active NPI
Alessandra Puggioni, MD
- Specialist
- New York, NY
National Provider Identifier
1689654113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 307007
- Practice address
- 245 5TH Ave FL 3
C O Lina Nomad
New York, NY 10016-8278 - Phone
- (212) 457-1491
- Fax
- (469) 210-8571
- NPI assigned
- Jan 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 307007 | NY | Primary |
Addresses
Primary practice location
245 5TH Ave FL 3
C O Lina Nomad
New York, NY 10016-8278
Mailing address
886 2ND Avenue
PMB 113
New York, NY 10017-2103
Phone (212) 457-1491
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 996473800 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Vein and Lymphatic Centers Inc | Single Specialty | Current | Accepting new patients |
| MVC PA PLLC | Single Specialty | Past | Accepting new patients |
| MMC University Vascular Surgeons | Single Specialty | Past | Accepting new patients |
Locations
886 2nd Ave
New York, NY 10017
245 5th Ave
Fl 3
New York, NY 10016
Phone (212) 302-4399
Interoperability endpoints
- alessandra@svs-az.direct.office.nextgen.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Vascular Surgery Physician
- New York, NY
- NPI 1942945498
Single Specialty
-
- Vascular Surgery Physician
- Brooklyn, NY
- NPI 1659484368
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651190400000",
"number": "1689654113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "886 2ND AVENUE",
"address_2": "PMB 113",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100172103",
"telephone_number": "212-457-1491",
"fax_number": "692-108-5714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 5TH AVE FL 3",
"address_2": "C O LINA NOMAD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100168278",
"telephone_number": "212-457-1491",
"fax_number": "469-210-8571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGGIONI",
"first_name": "ALESSANDRA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-19",
"last_updated": "2022-04-29",
"certification_date": "2022-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "307007",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "996473800",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.